How much rates vary
Facilitymedian $1,072 · 10th to 90th $398 to $3,631Professionalmedian $427 · 10th to 90th $309 to $933
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $398.11 Median $426.58 Typical High $3,890.45 | Facility | None | $398.11 | $426.58 | $3,890.45 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $125.89 | Facility | 26 · Professional part | $120.23 | $125.89 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $691.83 | Facility | TC · Technical part | $281.84 | $302.00 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $338.84 | $398.11 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $109.65 | $120.23 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $234.42 | $281.84 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $380.19 | Professional | None (both parts) | $251.19 | $288.40 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
AmeriHealth Setting Facility Modifier None Typical Low $1,202.26 Median $2,511.89 Typical High $3,548.13 | Facility | None | $1,202.26 | $2,511.89 | $3,548.13 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $1,778.28 | Professional | None (both parts) | $446.68 | $446.68 | $1,778.28 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $354.81 | Professional | 26 · Professional part | $128.82 | $128.82 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $660.69 Typical High $870.96 | Facility | None | $501.19 | $660.69 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $1,148.15 | Professional | None (both parts) | $263.03 | $478.63 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $218.78 | Professional | 26 · Professional part | $77.62 | $85.11 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $331.13 Typical High $977.24 | Professional | TC · Technical part | $181.97 | $331.13 | $977.24 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $457.09 Typical High $489.78 | Professional | None (both parts) | $380.19 | $457.09 | $489.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $144.54 Typical High $162.18 | Professional | 26 · Professional part | $123.03 | $144.54 | $162.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $331.13 | Professional | TC · Technical part | $257.04 | $309.03 | $331.13 |
Horizon BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,174.90 Typical High $5,011.87 | Facility | None | $676.08 | $1,174.90 | $5,011.87 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $707.95 | Professional | None (both parts) | $371.54 | $426.58 | $707.95 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $173.78 | Professional | 26 · Professional part | $109.65 | $125.89 | $173.78 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $263.03 | $302.00 | $489.78 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $1,445.44 | Facility | None | $676.08 | $676.08 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $398.11 Typical High $954.99 | Professional | None (both parts) | $281.84 | $398.11 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $218.78 | Professional | 26 · Professional part | $87.10 | $107.15 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $741.31 | Professional | TC · Technical part | $190.55 | $263.03 | $741.31 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $186.21 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $74.13 | $81.28 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $295.12 | $323.59 | $338.84 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $457.09 Median $691.83 Typical High $1,230.27 | Professional | GL · Free upgrade | $457.09 | $691.83 | $1,230.27 |
Where New Jersey sits
The same service costs 6.3 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Jersey· 38th of 51
$427
WY $1,288UT $204
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.